Smart Career Alternatives and Retirement for Physicians
The Doctors Guide to Smart Career Alternatives and RetirementI’ve previously reviewed the first two books in Dr. Fawcett’s Doctors Guide Series, the guides to Eliminating Debt and to Starting Your Practice Right. This is the third book in the series that I’ve been told is just getting started. In the introductory paragraph, we learn that more than a third of current full-time physicians have a plan in the next three years to retire, go part-time, or switch to a non-clinical career. If you fall into one of these three categories, this book is for you.Similar in length to his other books, this one is about 230 pages in length divided into eleven chapters. It can easily be read and digested over one to two evenings or a single long plane ride. Although it’s not organized this way, exactly, the book could also be seen as having three individual sections. The first two chapters deal with the impetus for change and ways to avoid a transition out of clinical medicine. Chapters three through five discuss alternative careers, and the final six chapters discuss the transition to not working and finances of the life of a retiree.
Why do You Want a Change?Dr. Fawcett first asks you to consider why it is that you picked up his book. Are you burned out? Anxious to try something different? Tired of taking call, doing the big cases, or afraid of a lawsuit? Don’t want to deal with MOC? Electronic health record driving you up a wall? Tired of dealing with trouble patients or trouble colleagues? Whatever reason or combination of reasons has led you to consider a drastic career move deserves to be fleshed out. Before you move on to the next chapters, have a firm understanding of why it is you don’t want to keep doing what it is you do now. you should plan to retire on something, a play on the common advice to retire to something. Personally, there’s no shortage of activities I’d like to pursue further when retired — it didn’t take long to make this list of fifty of them — and I have a side gig that will take all the time and attention I care to give it. It may be that like the author, my retirement from medicine will be more of a repurposing or career transition. Still, it’s a change that I believe I will welcome. I first considered early retirement a few years ago. I’ve spent the past several years contemplating what would come next. The author is wise to suggest you do the same.
Career Alternatives for PhysiciansThe next section discusses your options if you decide you’re ready to move on from the job you’re doing. Of course, if you’ve identified why you’re feeling this way, you may find that changing your job could alleviate most of the symptoms that are distressing you. Leaving clinical medicine isn’t always the answer. He discusses dropping to part-time, narrowing your scope of practice, practicing locum tenens, doing case review or expert witness work, and even adding work in the form of volunteer or medical mission work. I’ve tried of these, including mission work in Honduras although I’ve done no case review or expert witness work. Dr. John Jurica did for a while. I hear there’s even money to be made as a physician writer or blogger. I was pleased to see Dr. Jim Dahle of The White Coat Investor featured, along with a number of other physicians with outside-the-box jobs. Dr. Fawcett closes out this section with a chapter describing how he chose to finish his career with a variety of locum tenens stints as the lone general surgeon at a number of critical access hospitals in Oregon. While the specific plan won’t apply to many physicians, I liked how he was able to weave a personal story into the web of more generalized recommendations.
Retiring From MedicineThe final 100 pages discuss what to do with your life once you’ve left both your clinical and non-clinical working years behind. He refers to the financial phases of your life as the learning, earning, and burning years. I like the simplicity and rhyming structure, although I don’t like to think of the retirement years as burning money, exactly. I just plan to grow the portfolio more slowly then The mechanics of accessing your money are discussed. There could be more detail on which accounts to access when, how to do so efficiently, etcetera, but entire books exist on that subject. He mentions expenses that will drop when you retire and new expenses you will take on. Social Security is discussed, and he makes an argument for taking your benefit early or at least not delaying it. It’s a controversial view that was the subject of a pro-con piece between Dr. Fawcett and Dr. Dahle, but it’s one that might make sense for certain individuals.
Summary and ReviewI liked this The Doctors Guide to Smart Career Alternatives and Retirement. I don’t love the fact that he wrote and published it, because now I’ve got to make sure any book I might write someday is dissimilar enough to be worthwhile! As he’s done in his other books, Dr. Fawcett uses both theoretical examples mixed with stories of real people including himself to illustrate the lessons he’s conveying. He goes into an appropriate level of detail on most subjects and often gives references for more complete study for those with a deeper level of interest. While this book is probably not a great read for an early career physician unless he or she has become rapidly disenchanted with the medical profession, the mid-to-late career physician would certainly benefit from the information presented.
Have you read this book? Do you know anyone that might benefit from it? Pick it up for yourself or as a gift!